Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors
Abstract Introduction Young cancer survivors may be at increased risk of early‐onset chronic health conditions. The aim of this population‐based study is to estimate cardiovascular disease (CVD) risk among younger versus older B‐cell non‐Hodgkin's lymphoma (B‐NHL) survivors compared with their...
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doaj-66f53c2d8e4c49c3bd58c547dfba06fc2021-06-17T09:30:45ZengWileyCancer Medicine2045-76342021-06-0110124117412610.1002/cam4.3934Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivorsKrista Ocier0Sarah Abdelaziz1Seungmin Kim2Kerry Rowe3John Snyder4Vikrant Deshmukh5Michael Newman6Alison Fraser7Ken Smith8Christina A. Porucznik9Kimberley Shoaf10Joseph B. Stanford11Catherine J. Lee12Mia Hashibe13Division of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USAIntermountain Healthcare Salt Lake City UT USADivision of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USAIntermountain Healthcare Salt Lake City UT USAIntermountain Healthcare Salt Lake City UT USAUniversity of Utah Health Sciences Center Salt Lake City UT USAUniversity of Utah Health Sciences Center Salt Lake City UT USAPedigree and Population Resource Population Sciences Huntsman Cancer Institute Salt Lake City UT USAPedigree and Population Resource Population Sciences Huntsman Cancer Institute Salt Lake City UT USADivision of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USADivision of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USADivision of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USADivision of Hematology and Hematologic Malignancies Department of Internal Medicine University of Utah School of Medicine Salt Lake City UT USADivision of Public Health Department of Family & Preventive Medicine University of Utah School of Medicine Salt Lake City UT USAAbstract Introduction Young cancer survivors may be at increased risk of early‐onset chronic health conditions. The aim of this population‐based study is to estimate cardiovascular disease (CVD) risk among younger versus older B‐cell non‐Hodgkin's lymphoma (B‐NHL) survivors compared with their respective general population cohorts. Methods B‐NHL survivors diagnosed from 1997 to 2015 in the Utah Cancer Registry were matched with up to five cancer‐free individuals on birth year, sex, and birth state, using the statewide Utah Population Database. Electronic medical records and statewide health care facility data were used to identify disease outcomes ≥5 years after cancer diagnosis. Cox Proportional Hazards models were used to estimate hazard ratios for B‐NHL survivors diagnosed at <65 years and ≥65 years old. Results Younger B‐NHL survivors had higher relative risks than older cancer survivors of chronic rheumatic disease of the heart valves (HR = 4.14, 99% CI = 2.17–7.89; P valueheterogeneity = 0.004); peri‐, endo‐, and myocarditis (HR = 2.43, 99% CI = 1.38–4.28; P valueheterogeneity = 0.016); diseases of the arteries (HR = 1.63, 99% CI = 1.21–2.21; P valueheterogeneity = 0.044); and hypotension (HR = 2.44, 99% CI = 1.58–3.75; P valueheterogeneity = 0.048). B‐NHL survivors of both age groups had elevated relative risks of heart disease overall and congestive heart failure. Conclusion Younger B‐NHL survivors had higher risks than older B‐NHL survivors of specific cardiovascular diseases compared to their respective general population cohorts.https://doi.org/10.1002/cam4.3934accelerated agingcardiovascular diseaselong‐term healthnon‐Hodgkin's lymphomasurvivorship |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Krista Ocier Sarah Abdelaziz Seungmin Kim Kerry Rowe John Snyder Vikrant Deshmukh Michael Newman Alison Fraser Ken Smith Christina A. Porucznik Kimberley Shoaf Joseph B. Stanford Catherine J. Lee Mia Hashibe |
spellingShingle |
Krista Ocier Sarah Abdelaziz Seungmin Kim Kerry Rowe John Snyder Vikrant Deshmukh Michael Newman Alison Fraser Ken Smith Christina A. Porucznik Kimberley Shoaf Joseph B. Stanford Catherine J. Lee Mia Hashibe Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors Cancer Medicine accelerated aging cardiovascular disease long‐term health non‐Hodgkin's lymphoma survivorship |
author_facet |
Krista Ocier Sarah Abdelaziz Seungmin Kim Kerry Rowe John Snyder Vikrant Deshmukh Michael Newman Alison Fraser Ken Smith Christina A. Porucznik Kimberley Shoaf Joseph B. Stanford Catherine J. Lee Mia Hashibe |
author_sort |
Krista Ocier |
title |
Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors |
title_short |
Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors |
title_full |
Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors |
title_fullStr |
Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors |
title_full_unstemmed |
Cardiovascular disease risks in younger versus older adult B‐cell non‐Hodgkin’s lymphoma survivors |
title_sort |
cardiovascular disease risks in younger versus older adult b‐cell non‐hodgkin’s lymphoma survivors |
publisher |
Wiley |
series |
Cancer Medicine |
issn |
2045-7634 |
publishDate |
2021-06-01 |
description |
Abstract Introduction Young cancer survivors may be at increased risk of early‐onset chronic health conditions. The aim of this population‐based study is to estimate cardiovascular disease (CVD) risk among younger versus older B‐cell non‐Hodgkin's lymphoma (B‐NHL) survivors compared with their respective general population cohorts. Methods B‐NHL survivors diagnosed from 1997 to 2015 in the Utah Cancer Registry were matched with up to five cancer‐free individuals on birth year, sex, and birth state, using the statewide Utah Population Database. Electronic medical records and statewide health care facility data were used to identify disease outcomes ≥5 years after cancer diagnosis. Cox Proportional Hazards models were used to estimate hazard ratios for B‐NHL survivors diagnosed at <65 years and ≥65 years old. Results Younger B‐NHL survivors had higher relative risks than older cancer survivors of chronic rheumatic disease of the heart valves (HR = 4.14, 99% CI = 2.17–7.89; P valueheterogeneity = 0.004); peri‐, endo‐, and myocarditis (HR = 2.43, 99% CI = 1.38–4.28; P valueheterogeneity = 0.016); diseases of the arteries (HR = 1.63, 99% CI = 1.21–2.21; P valueheterogeneity = 0.044); and hypotension (HR = 2.44, 99% CI = 1.58–3.75; P valueheterogeneity = 0.048). B‐NHL survivors of both age groups had elevated relative risks of heart disease overall and congestive heart failure. Conclusion Younger B‐NHL survivors had higher risks than older B‐NHL survivors of specific cardiovascular diseases compared to their respective general population cohorts. |
topic |
accelerated aging cardiovascular disease long‐term health non‐Hodgkin's lymphoma survivorship |
url |
https://doi.org/10.1002/cam4.3934 |
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